| NPI | 1679969984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 115255) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2025-06-11 |